Hayes-Borja, Sergio

Hayes-Borja, Sergio was paid $6K by Medicaid between Dec 2020 and Mar 2021, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 88% of everything it billed.

33Billing provider infoHAYES-BORJA, SERGIO
SULPHUR, LA 70663

33aNPI1407234446assigned 05/11/2015

33bProvider typeProfessional Counselor

28Total paid$6K

24GClaims136

24DCodes billed3

24AFirst – last monthDec 2020 – Mar 2021

Compared with peers

Next to other Professional Counselor providers in Louisiana

Rank by total paid#152 of 200

Median peer was paid$36K

This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2020	20	$683.50
2021	116	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	88%	103	57	$5K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	11%	12	12	$682.83
90785		<1%	21	14	$50.61

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.